Organization
NORTHERN ARIZONA ORTHOSPORTS PHYSICAL THERAPY INC
Active
Organization
NORTHERN ARIZONA ORTHOSPORTS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LEE MISSEY PT (SECRETARY TREASUERER)
(928) 775-2765
Entity
Organization
Contact information
Practice address
2485 N GREAT WESTERN DR, F2, PRESCOTT VALLEY, AZ 86314-6528
(928) 775-2765
(928) 772-9170
Mailing address
PO BOX 28042, PRESCOTT VALLEY, AZ 86312-8042
(928) 775-2765
(928) 772-9170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/19/2005
Last updated
10/15/2007
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